Individual
ANTHONY JOHN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2810 NACOGDOCHES RD, SAN ANTONIO, TX 78217-5827
(210) 828-9644
(210) 828-9646
Mailing address
30661 ROYAL VALANCE, FAIR OAKS RANCH, TX 78015-4236
(830) 755-2487
(210) 828-9644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14101
TX
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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